Provider Demographics
NPI:1467915280
Name:MATTHEW JARVINEN PH.D., INC., A PSYCHOLOGICAL CORPORATION
Entity Type:Organization
Organization Name:MATTHEW JARVINEN PH.D., INC., A PSYCHOLOGICAL CORPORATION
Other - Org Name:EMOTIONFIT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:J
Authorized Official - Last Name:JARVINEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:916-337-0485
Mailing Address - Street 1:169 SAXONY RD STE 205
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-6780
Mailing Address - Country:US
Mailing Address - Phone:916-337-0485
Mailing Address - Fax:
Practice Address - Street 1:169 SAXONY RD STE 205
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-6780
Practice Address - Country:US
Practice Address - Phone:916-337-0485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-09
Last Update Date:2022-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health